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What is the American Indian Health Program (AIHP)?
The AHCCCS Acute Fee For Service Program for American Indians, administered by the
State through the Division of Fee For Service Management at AHCCCS.
Who can treat AIHP members?
Any AHCCCS Registered Provider that has not opted out of fee for service.
The AHCCCS FFS Program does not contract with individual providers.
How do you submit a claim for an American Indian?
Please use this link to submit your AHCCCS/DFSM claims
What about Referral Services?
AIHP members do not need referrals to see an AHCCCS registered provider. For
Which services need PA requirements for AIHP members?
Please use these links to Chapter 820 in the AMPM; Chapter 6 in the IHS/638 Provider
Billing Manual; and Chapter 8 in the FFS Provider Manual.
Can an American Indian switch from a health plan to
FFS and back again?
Yes. Under federal law, American Indians may not be required to choose a managed
care plan. Please use this link to sign in and verify eligibility online at
the time of service. https://azweb.statemedicaid.us/
What are the FFS Programs?
AIHP, FES (Federal Emergency Services), Tribal ALTCS (including Gila River Indian
Community, Hopi Tribe, Navajo Nation, Pascua Yaqui Tribe, San Carlos Apache Tribe,
Tohono O’Odham Nation, White Mountain Apache Tribe, and Native American Community
Health), and QMB Only. A QMB Only is a Non-AHCCCS Member who retains original
Medicare coverage and has no AHCCCS health plan enrollment. The member opts
out of “QMB Dual” coverage, and AHCCCS pays for coinsurance and deductible for Medicare.
Please use this link for information on ALTCS Tribal Case Management.
Where do you go for answers to further questions regarding
AIHP eligibility, coverage, and provider billing rates?
The AHCCCS Website/AIHP Portal
The IHS/Tribal Provider Billing Manual
AHCCCS Medical Policy Manual (AMPM)
FFS Provider Manual
Provider Billing Rates
Behavioral Health Services Guide
If you have further questions, you may call AHCCCS Provider Services at (602) 417-7670
for specific billing and eligibility questions.
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